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Thursday, February 22, 2007

Holding Pattern

Today we did our baseline U/S with Dr. Pompy.

Lining 5mm. 5mm is "borderline". A bit too thick and he'd like to see it thinner. I'm on day 2 of AF and I should have started on the 18th. Instead AF came on the 21st, taking her own sweet time.

Left ovary: 5 follicles & a small cyst (corpus luteum). There might be more follicles behind the cyst but impossible to tell. It appears to be blood filled so he said it's likely a remnant of ovulation and thinks another week will help it to disappear.

Right ovary: He had a really hard time finding my ovary with was a bit strange. I wonder if it's moved due to adhesions or scar tissue. 7 follicles.

Bloodwork:
Progesterone 2.3
E2 35

Nurse K said that the progesterone should be at ZERO and that because it's not they feel the cyst is a corpus luteum that is just taking a while to disappear. U/S #2 next week. If I'm still bleedin' I'm going to postpone a day or two as those $290 U/S rack up fast.

So 12 follicles in all. Maybe more. I pray that a few more come out of the woodwork and surprise us.

So we continue on with the lupron for another week.

Yippee.

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Comments on "Holding Pattern"

 

Blogger Margo said ... (2:21 PM) : 

I wish you all the best with this cycle. Hang in there.

 

Anonymous Anonymous said ... (3:37 PM) : 

just a quick question. I too am starting a cycle and am using lovenox for the first time. My doctor will not start me on it until there is a confirmed pregnancy. My question to you is..are you using lovenox before you have a confirmed pregnancy. Any info would be most appreciated.

 

Blogger linda said ... (3:44 PM) : 

Anon-

Yes, you need to start lovenox on CD6 so that your endometrium develops properly. CD6 when you are in cycle is probably the 2nd or 3rd day of stims for you.

If you have APAs, MTHFR, or any other thrombophilia, waiting til you get a BFP is way too long to be waiting.

What is your diagnosis for using lovenox? I hope you are at least taking baby aspirin right now if you can't get lovenox earlier.

 

Blogger Karen said ... (3:29 PM) : 

Linda,

Thanks for getting back to me.
I have been diagnosed with MTHFR (heterozygus) and Factor V Leiden.

I am curretly taking 2.2mg Folgard, Baby aspirin and prenatals. Doctor wants to add 40mg lovenox once pregnancy is confirmed.
I am using donor eggs this cycle I don't know if that makes a difference or not. I miscarried last June at 10 weeks with twin girls and later was diagnosed with the above mentioned.

Do you think I should question my doctor about when the Lovenox should be administered? What did your doctor tell you ?

Thanks for all your help.

 

Blogger linda said ... (4:21 PM) : 

Karen,

It doesn't matter if they're your eggs or donor eggs...your MTHFR and Factor V will still cause issues.

You totally need to educate your doctor about Lovenox. Dr. Beer (www.repro-med.net) repeatedly gave his immune patients Lovenox starting on CD6 (which equates to day 2 or 3 of stims) and continued on to the 8th month (usually patients switch to heparin close to term).

If you don't take Lovenox or heparin during stims, your endometrium can form with micro clots in the small arteries and capillaries and this can lead to placental failure after pregnancy is confirmed. Lovenox AFTER pregnancy is confirmed will NOT make problems that have already arisen go away.

Please consider joining our yahoo board for immunology patients.

 

Blogger ichabette said ... (10:04 PM) : 

Hi, I'm so sorry I can't seem to get this post attached to the right page. I'm trying to connect with affordable lupron and saw in one of your posts that you do your own injection, could you possibly email me about how you get set up to do that? thanks so much.

ichabette@aol.com (colleen)

 

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Ultrasound of a 9 week old fetus

Diagnosis:
elevated NKs, NKUs, 3 +APAs (2 borderline), heterozygous for MTHFR A1298C. Slightly low thyroid.

dq-α:
me: 1.1, 4.1
dh: 1.2, 3.1

Low LADs were treated in Mexico and elsewhere with LIT.
Anti-sperm antibodies
Article: LIT and the FDA

No: ANAs, normal TH1/TH2 Cytokine ratio, or x-DNA/Histones.

IF Treatments:
-Clomid #1: Sept 2005
-Clomid #2: Sept 2005
-HSG: Oct 2005
-Lap/Chromo: Oct 2005
-Nat'l IUI: Nov 2005
-IVF #1: Jan 2006, β1=2.0, β2=0.9
-IVF #2: May 2006, β1=<1.0
-Myomectomy (5), salpingectomy (both), & endo removed via lap on 6.6.6
-LIT#1 in Nogales: 6.16.6
-LIT#2: July 2006
-FET #1: Sept 2006, β1=2.48, β2=<2.0
-Dr. Hungarian Dx Oct 2006
-Dr. Hungarian Tx Dec 2006-Mar 2007
-IVF#3: Mar 2007 Canceled myself right before retrieval
-IVF#4: April/May 2007 Canceled due to dominant follicle
-IVF#4: August 2007, β1<2.0
-IVF#5: December 2007

Pre-ET
Feng Shui'd the House
500mg Zithromax starting with stims
4 LIT Treatments
17 Weeks of Humira or Enbrel
30g IVIg CD5 of IVF cycle (day 2 or 3 of stims)
30g IVIg 2 days before transfer
1mg Dexamethazone starting with stims
30mg Lovenox, 2X's/Day
0.0375mg Synthroid
Lexapro
Prenatal
Folguard 2.2 2x's/day
Extra 1g C (Stop at ET)
Extra 1g Calcium
Extra 400mg E (Stop at ET)
Nettle Tea & Capsules
2g Bromelain
Extra D3
Keep BMI<24
4-6g Fish Oil/Day
Baby Aspirin
Eating Loads of Protein!
Nettle Caplets
Femoral Massage (Stop at ET)
Acupuncture (Stop at ET)
TCM Diet: No cold or slippery foods
Immune Friendly Diet: No non-sprouted wheat, sugar, starches. Little fruit.
No nightshades
No caffeine
No coffee, not even decaf
No soy when in cycle
10 days Doxycycline

Day of Transfer
Light activity

Post ET Changes
Visualization
200mg progesterone capsules
Take it easy days 2&3
No sex til beta#1
Cut out egg yolks (contains immunogenic acid)






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